HOSPITALIZATION, MEDICAL. The Board will provide medical/hospitalization/prescription drug insurance to bargaining unit members through the medical plan options provided by the Trumbull County Schools Employees Insurance Consortium. All bargaining unit members participating in the Board provided health care insurance will contribute a premium co-pay of 10%
13.7.1 If the Board receives a premium holiday from the consortium, the holiday will be passed on to the participating employee.
HOSPITALIZATION, MEDICAL. The Employer shall offer hospitalization and medical coverage for all full-time Bargaining Unit employees and their dependents as defined under the Affordable Health Care Act. The carrier and limits offered shall be determined by the Lake County Board of Health. Effective January 1, 2014, all aspects of the hospitalization and medical plan including but not limited to employee eligibility and dependent eligibility, plan design, carrier, limits, networks, levels of coverage, cost distribution, employee monthly co-payments based on LCGHD experience ratings or any other aspect shall be determined by the Lake County Board of Commissioners as they may periodically modify. LCGHD will make available vision care on the same terms available through the Lake County Wide plan. Should the employer opt out of the County-Wide plan, a vision care plan will be offered to eligible full time employees as determined by the LCGHD Board. Should the Employer opt out of the County Wide Health Insurance program during the term of this Agreement, the Employer shall pay eighty-five percent (85%) per month and the employee will pay fifteen percent (15%) per month of the premium that may apply, based on eligibility for a single plan, a plan of employee plus child, employee and spouse, (if quoted in such manner by xxxxxxx), or a family plan of the plan(s) offered by the Employer. A spouse entitled to health insurance through another Employer, shall be excluded from coverage under this plan.
HOSPITALIZATION, MEDICAL. (a) All employees will be offered an HMO plan as provided by the School District. Family dependent coverage is limited to spouse and children under the age of twenty-seven (27). Currently the law states dependent children can remain on the insurance until the end of the calendar year in which the dependent turns the age of 26.
(b) An employee who opts not to be covered under the Board’s medical coverage shall receive compensation of two hundred dollars ($200) per month in lieu of coverage to be paid each month subject to the following condition: The employee must supply to the District written proof of medical coverage with another employer/carrier. (b)(1) New employees hired after 4/16/08 shall only be offered an HMO Plan as provided by the School District.
HOSPITALIZATION, MEDICAL. Subject to the above criteria, the Millville Area School District will provide up to husband and wife hospitalization, dental and vision insurance coverage at available plans currently offered to active Act 93 employees. Plans available to retirees will change as plans available to active Act 93 employees change. Retiree premium share and employer contributions to HSAs or HRAs shall likewise have the same terms as for active employees as permitted by law and are mutually inclusive or exclusive. The following conditions shall apply:
a) A maximum period of 5 years Or
b) Until the retiree is eligible for Medicare coverage or becomes eligible to participate in other employer sponsored medical insurance available without cost to the retiree (whichever comes first). The Millville Area School District will provide retiring employees hired after July 1, 2015 single hospitalization, dental and vision insurance coverage at available plans currently offered to active Act 93 Agreement employees.
HOSPITALIZATION, MEDICAL. (a) The District shall provide a Hospitalization Plan with a premium Funded Drug prescription rider. The Healthcare committee and the District shall meet annually when rates are made available to the District to discuss healthcare rates and options for the following school year. Family dependent coverage is limited to spouse and children under the age of twenty-seven (27). Currently the law states children can remain on the insurance until the end of the calendar year in which the dependent turns the age of 26.
(b) An employee who opts not to be covered under the Board’s medical coverage shall receive compensation of two hundred dollars ($200) per month in lieu of coverage to be paid each month subject to the following condition:
1. The employee must supply to the District written proof of medical coverage with another employer/carrier.
HOSPITALIZATION, MEDICAL. Surgical, and Major Medical - The Board will continue to provide Blue Cross/Blue Shield (unless an equivalent policy is adopted by mutual agreement of the parties) hospitalization, medical-surgical, and major medical insurance coverage for the family, two people, or the individual during the term of this Agreement, including any rate increases, at no cost to the teachers, including hospitalization coverage for nervous and mental disorders.
(a) Teachers, their spouses, and dependents shall be permitted to continue or rejoin the New Castle Area School District Blue Cross/Blue Shield (or the equivalent) health insurance provided herein in the event of early retirement, provided, however, that the teacher pays the applicable premium at the School District Office on a monthly basis by the fifteenth day of the month preceding the month.
(b) The Board shall continue the Blue Cross/Blue Shield (or the equivalent) health insurance provided herein for any teacher who retires with a disability pension for a period of six (6) months from the date of termination of his or her employment status with the Board. Said health insurance shall be the same as that of retired teachers.
(c) Current employees and employees hired during the term of this agreement shall be enrolled in the Blue Cross/Blue Shield PPO Plan at no cost to the employee.
(d) All active professional employees shall be subject to a healthcare plan which includes co-pay(s) and deductible payment provisions. Said plan summary shall be attached hereto and made a part hereof as set forth in Appendix I. Said Appendix is for demonstrative purposes only. All currently retired or those professional staff members that may retire under this Agreement shall not be subject to any co-pay(s) or deductible payment provisions. Said plan summary shall be attached hereto and made a part hereof as set forth in Appendix J. Said appendix is for demonstrative purposes only.
HOSPITALIZATION, MEDICAL. (a) The employer agrees to pay the full premium for hospitalization medical coverage for the employee and his family, the plan to be Blue Cross/Blue Shield or equivalent to, and a $5.00 Prescription Rider. New employees hired after the effective date of this Agreement will be offered an HMO plan as provided by the School District. Family dependant coverage is limited to spouse and children under the age of twenty-six (26), if single, living with parents and claimed as a dependant on the employee's 1040 Tax Return.
(b) An employee who opts not to be covered under the Board’s medical coverage shall receive compensation of two hundred dollars ($200) per month in lieu of coverage to be paid each month subject to the following condition: The employee must supply to the District written proof of medical coverage with another employer/carrier. (b)(1) New employees hired after 4/16/08 shall only be offered an HMO Plan as provided by the School District.
HOSPITALIZATION, MEDICAL. COVERAGE
Section 32.01 Effective January 1, 2017, the University shall provide and maintain the following medical benefits for each employee regularly assigned to work twenty (20) hours or more per week, commencing with the employee’s ninety first (91) day of employment.
Section 32.02 Effective January 1, 2017 employees shall have the option of participating in the Preferred Provider Organization (PPO5), Health Maintenance Organization (HMO) or Health Savings Account eligible PPO health plans with benefits as described in each plan design. The prescription drug coverage plan is also found in the Health Care Options Booklet and within each plan design.
Section 32.03 Participants in the University’s health insurance plans are required to make cost-sharing contributions for the plan of their choice in addition to any applicable deductibles and copays. Employee cost-sharing information for each plan is found in Appendix I, Healthcare Plan Design and Cost Share Table. The health insurance plan rates change in January 2017, 2018 and 2019.
Section 32.04 Employees who obtain age sixty-five (65) are eligible for Medicare benefits. With the passage of the Tax Equity and Fiscal Responsibility Act (TEFRA), the Employer provided health insurance plan becomes the primary health insurance carrier.
Section 32.05 Medicare becomes the secondary health carrier for active employees who are age 65 and over.
Section 32.06 To qualify for the medical benefits as above described, each employee must individually enroll and make proper application for such benefits at the Benefits Office within thirty (30) calendar days of the commencement of his or her regular employment with the University. An employee who fails to enroll and make proper application as herein provided is specifically and expressly excluded from such benefits plan until such time as he or she enrolls and makes proper application during an open enrollment period.
Section 32.07 Employees hired on and after the date this agreement is ratified by the Union and the University shall not be covered by these medical benefits until the employee has completed his/her 90th day of service to the University.
Section 32.08 Additions and changes to an employee’s health care coverage must be made within thirty (30) calendar days of the event (marriage, divorce, birth, and adoption) by contacting the Benefits Office and completing the appropriate change forms. Failure to make these changes as herein provided will result in the addi...
HOSPITALIZATION, MEDICAL. 1. The Employer presently makes available the Blue Cross-Blue Shield Community Blue PPO 4 and/or PPO 7 Group Hospital plan to all regular, full-time employees. Office and Chiropractic visits have a $20 co-pay In Network. Emergency room visits have a $100 co-pay In Network, waived if admitted for an accidental injury. Greater detail is available in the insurance benefits schedule. The Employer will contribute toward the cost of coverage for the employee, spouse and dependent children. The Employer’s contributions will be in compliance with Michigan Public Act 152, providing public employer contributions to employee health care costs to be no greater than the pool of funds created by eighty percent (80%) of the premium or illustrated premium, or the hard cap limits, as prescribed by the statute and defined annually by the state. Participation in this plan requires properly signed application forms by each employee.
2. Effective date of coverage for new employees will be in accord with the insurance provider schedules. The parties further agree that the employee’s contribution shall be the difference between the Employer’s contribution and the actual cost of the coverage selected by the employee. Employee’s eligible for and receiving health care will make bi-weekly payroll deductions toward the cost of such coverage in an amount sufficient to make up the difference between the Employer’s contribution and the total cost of the coverage.
3. The parties further agree that the Employer will be in compliance with the Federal Patient Protection and Affordable Care Act (FPPACA) and all associated regulations. The Employer reserves the right to select and change the insurance carriers and to bargain any changes to the plan by the next normal enrollment date with no less than sixty (60) days advance notice to the Union. The Employer anticipates the creation of and participation in an insurance committee with information on the committees’ recommendations before taking such steps.
4. The prescription drug co-payments will be $0 generic/$30 brand name MOPD-1 for the Drug Purchase Program. The prescription drug program will require mandatory generics, step therapy/prior authorization, and exclude weight loss, impotence, and fertility lifestyle drugs from coverage.
5. In the event a vested member dies while an employee of the Commission, the Employer agrees to continue basic health coverage for the member's eligible dependents from the time of death for a maximum of thirt...
HOSPITALIZATION, MEDICAL. Life Insurance Coverage Workers’ Compensation, and Extended Benefits Dental and Vision Insurance
